State of the Science of Pediatric Feeding Evaluation,Intervention,and Policy

Abstract

Feeding is a multifaceted process that is frequently disrupted across pediatric populations, in particular among children with medical, developmental, or behavioral challenges. Occupational therapy practitioners possess unique expertise in providing comprehensive evaluations and interventions for feeding and eating skills, child regulation and behavior, mealtime routines, and family-centered goals during this essential activity of daily living. This State of the Science review synthesizes the current state of evaluation, intervention, and policy related to pediatric feeding within occupational therapy; specifically, we identify opportunities for expanded assessment development, intervention research, clinical research partnerships, and policy advocacy. We emphasize the importance of occupational therapy practitioners being part of multidisciplinary teams, consistently being recognized as qualified providers of feeding services, and being reimbursed for service provision across the United States related to pediatric feeding.

This State of the Science column synthesizes the current state of evaluation, intervention, and policy related to pediatric feeding within occupational therapy, specifically opportunities for expanded assessment development, intervention research, clinical research partnerships, and policy advocacy.

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References

Alaimo

C. M.

Seiverling

Weisberg

H. R.

Ortsman

J. T.

, & Jones

E. A.

(2023). An evaluation of a telehealth caregiver training package to treat food selectivity. Behavior Modification, 47, 905–935. https://doi.org/10.1177/01454455221131285

Allen

S. L.

Smith

I. M.

Duku

Vaillancourt

Szatmari

Bryson

, … Georgiades

(2015). Behavioral Pediatrics Feeding Assessment Scale in young children with autism spectrum disorder: Psychometrics and associations with child and parent variables. Journal of Pediatric Psychology, 40, 581–590. https://doi.org/10.1093/jpepsy/jsv006

Almaatani

Zurbau

Khoshnevisan

Bandsma

R. H. J.

Khan

T. A.

Sievenpiper

J. L.

, & Van Den Heuvel

(2023). The association between parents’ stress and parental feeding practices and feeding styles: Systematic review and meta-analysis of observational studies. Maternal and Child Nutrition, 19, e13448. https://doi.org/10.1111/mcn.13448

American Occupational Therapy Association. (2017). The practice of occupational therapy in feeding, eating, and swallowing. American Journal of Occupational Therapy, 71(Suppl. 2), 7112410015. https://doi.org/10.5014/ajot.2017.716S04

American Occupational Therapy Association. (2018). Occupational therapy’s role in the neonatal intensive care unit. American Journal of Occupational Therapy, 72(Suppl. 2), 7212410060. https://doi.org/10.5014/ajot.2018.72S204

American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy, 74(Suppl. 2), 7412410010. https://doi.org/10.5014/ajot.2020.74S2001

American Occupational Therapy Association. (2023). Sensory integration approaches for children and youth in occupational therapy practice. American Journal of Occupational Therapy, 77(Suppl. 3), 7713410230. https://doi.org/10.5014/ajot.2023.77S3004

American Occupational Therapy Association. (2025). Practice smart! https://www.aota.org/practice/practice-essentials/evidencebased-practiceknowledge-translation/practice-smart

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

10.

Archer

L. A.

Rosenbaum

P. L.

, & Streiner

D. L.

(1991). The Children’s Eating Behavior Inventory: Reliability and validity results. Journal of Pediatric Psychology, 16, 629–642. https://doi.org/10.1093/jpepsy/16.5.629

11.

Arslan

S. S.

Demir

Karaduman

A. A.

, & Belafsky

P. C.

(2018). The pediatric version of the Eating Assessment Tool: A caregiver administered dysphagia-specific outcome instrument for children. Disability and Rehabilitation, 40, 2088–2092. https://doi.org/10.1080/09638288.2017.1323235

12.

Ausderau

K. K.

St. John

B. M.

Al-Heizan

M. O.

Dammann

Chaudoir

, & Sideris

(2024). Factor analysis of the Feeding and Eating in AutiSm Together assessment. Research in Autism Spectrum Disorders, 118, 102469. https://doi.org/10.1016/j.rasd.2024.102469

13.

Ausderau

K. K.

St. John

B. M.

Hladik

Kant

Novak

Romanik

, & Muesbeck

(2025). The Engaged Eaters Program: Preliminary effectiveness of a caregiver-mediated intervention for feeding challenges in autistic children [Manuscript submitted for publication].

14.

Ausderau

K. K.

St. John

Joseph

, & Laufenberg

(2024). Individualized mealtime routines support family-specific feeding goals. American Journal of Occupational Therapy, 78(Suppl. 2), 7811500161. https://doi.org/10.5014/ajot.2024.78S2-PO161

15.

Ausderau

K. K.

St. John

Kwaterski

K. N.

Nieuwenhuis

, & Bradley

(2019). Parents’ strategies to support mealtime participation of their children with autism spectrum disorder. American Journal of Occupational Therapy, 73, 7301205070. https://doi.org/10.5014/ajot.2019.024612

16.

Baranwal

Hodges

Breiner

C. E.

Malugen

Estrem

H. H.

Sharp

W. G.

, & Raol

(2024). Intensive outpatient programs for pediatric feeding disorder: A qualitative study of current challenges and future directions. Journal of Developmental and Behavioral Pediatrics, 45, e569–e577. https://doi.org/10.1097/DBP.0000000000001310

17.

Bartolome

Kaneko-Tarui

Maron

, & Zimmerman

(2020). The utility of speech-language biomarkers to predict oral feeding outcomes in the premature newborn. American Journal of Speech-Language Pathology, 29, 1022–1029. https://doi.org/10.1044/2019_AJSLP-CSW18-19-0027

18.

Barton

Bickell

, & Fucile

(2018). Pediatric oral motor feeding assessments: A systematic review. Physical and Occupational Therapy in Pediatrics, 38, 190–209. https://doi.org/10.1080/01942638.2017.1290734

19.

Beckman

(2019). Beckman Oral Motor Evaluation Protocol . https://beckmanoralmotor.com/wp-content/uploads/2024/08/Beckman-Protocol-pages-73-74.pdf

20.

Beckman

(2024). Beckman Oral Motor . https://beckmanoralmotor.com/

21.

Birch

L. L.

Fisher

J. O.

Grimm-Thomas

Markey

C. N.

Sawyer

, & Johnson

S. L.

(2001). Confirmatory factor analysis of the Child Feeding Questionnaire: A measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite, 36, 201–210. https://doi.org/10.1006/appe.2001.0398

22.

Blennerhassett

Richards

, & Clayton

(2025). Caregiver-implemented feeding interventions for autistic children with food selectivity: A systematic review. Review Journal of Autism and Developmental Disorders, 12, 224–242. https://doi.org/10.1007/s40489-023-00378-2

23.

Bowman

O. J.

Hagan

J. L.

Toruno

R. M.

, & Wiggin

M. M.

(2020). Identifying aspiration among infants in neonatal intensive care units through occupational therapy feeding evaluations. American Journal of Occupational Therapy, 74, 7401205080. https://doi.org/10.5014/ajot.2020.022137

24.

Brinksma

Sulkers

IJpma

Burgerhof

J. G. M.

, & Tissing

W. J. E.

(2020). Eating and feeding problems in children with cancer: Prevalence, related factors, and consequences. Clinical Nutrition, 39, 3072–3079. https://doi.org/10.1016/j.clnu.2020.01.012

25.

Centers for Medicare & Medicaid Services. (2025). Billing and coding: Outpatient occupational therapy. Billing and coding article. https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53064&ver=83&

26.

Chilman

L. B.

Meredith

P. J.

Southon

Kennedy-Behr

Frakking

Swanepoel

, & Verdonck

(2024). Occupational Performance Coaching for parents of picky eaters: A mixed methods study. Australian Occupational Therapy Journal, 71, 644–660. https://doi.org/10.1111/1440-1630.12947

27.

Chou

Wang

L.-W.

Lin

C.-J.

Wang

L.-Y.

Tsai

W.-H.

, & Ko

M.-J.

(2023). Evaluation of feeding difficulties using videofluoroscopic swallow study and swallowing therapy in infants and children. Pediatrics and Neonatology, 64, 547–553. https://doi.org/10.1016/j.pedneo.2022.11.010

28.

Chung

L. M. Y.

Fang

P. P. L.

Sun

Poon

E. T. C.

, & Chan

C. K. M.

(2024). “Still work?” Design and effect of interventions used to modify feeding problems in children with autism: A systematic review of studies employing group designs. Child: Care, Health and Development, 50, e13307. https://doi.org/10.1111/cch.13307

29.

Cichero

J. A. Y.

Lam

Steele

C. M.

Hanson

Chen

Dantas

R. O.

, … Stanschus

(2017). Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: The IDDSI framework. Dysphagia, 32, 293–314. https://doi.org/10.1007/s00455-016-9758-y

30.

Cimino

, & Cerniglia

(2022). The effect of a telehealth intervention on mother–child’s feeding interactions during the COVID-19 pandemic. Psychology Research and Behavior Management, 15, 1167–1175. https://doi.org/10.2147/PRBM.S364480

31.

Crary

M. A.

Carnaby Mann

G. D.

, & Groher

M. E.

(2005). Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Archives of Physical Medicine and Rehabilitation, 86, 1516–1520. https://doi.org/10.1016/j.apmr.2004.11.049

32.

Crist

, & Napier-Phillips

(2001). Mealtime behaviors of young children: A comparison of normative and clinical data. Journal of Developmental and Behavioral Pediatrics, 22, 279–286. https://doi.org/10.1097/00004703-200110000-00001

33.

Davidson

O’Rourke

Fortunato

J. E.

, & Jadcherla

(2020). The emerging importance of high-resolution manometry in the evaluation and treatment of deglutition in infants, children, and adults: New opportunities for speech-language pathologists. American Journal of Speech-Language Pathology, 29, 945–955. https://doi.org/10.1044/2019_AJSLP-19-00067

34.

De Oliveira Lira Ortega

Ciamponi

A. L.

Mendes

F. M.

, & Santos

M. T. B. R.

(2009). Assessment scale of the oral motor performance of children and adolescents with neurological damages. Journal of Oral Rehabilitation, 36, 653–659. https://doi.org/10.1111/j.1365-2842.2009.01979.x

35.

Destriatania

Februhartanty

Nurwidya

, & Sekartini

(2024). Feeding problems assessment tools in children: A scoping review. Children), 12, 37. https://doi.org/10.3390/children12010037

36.

El Nagar

AL-Nemr

, & Abdelazeim

(2021). Effect of oromotor exercises on feeding in children with cerebral palsy: Systematic review. Bulletin of Faculty of Physical Therapy, 26, 35. https://doi.org/10.1186/s43161-021-00054-8

37.

Esposito

Mirizzi

Fadda

Pirollo

Ricciardi

Mazza

, & Valenti

(2023). Food selectivity in children with autism: Guidelines for assessment and clinical interventions. International Journal of Environmental Research and Public Health, 20, 5092. https://doi.org/10.3390/ijerph20065092

38.

Fishbein

Cox

Swenny

Mogren

Walbert

, & Fraker

(2006). Food chaining: A systematic approach for the treatment of children with feeding aversion. Nutrition in Clinical Practice, 21, 182–184. https://doi.org/10.1177/0115426506021002182

39.

Fleet

S. E.

Davidson

R. D.

Carr

Lubenow

Rouse

A. S.

, & Truscott

K. E.

(2022). Conversion of a traditional in-person feeding clinic to a telehealth-only model of care. Maternal and Child Health Journal, 26, 58–64. https://doi.org/10.1007/s10995-021-03316-y

40.

Fraga

da Silva Dittz

, & Machado

L. G.

(2019). The construction of maternal co-occupation in the neonatal intensive care unit. Cadernos Brasileiros de Terapia Ocupacional, 27, 91–104. https://doi.org/10.4322/2526-8910.ctoAO1125

41.

Franchinotti

Moler

Paulenas

Saura

J. P.

, & Andreu

M. F.

(2025). Non-pharmacological interventions for feeding disorders in pediatrics: A scoping review. Occupational Therapy in Health Care, 39, 712–746. https://doi.org/10.1080/07380577.2024.2401732

42.

Frank

van den Engel-Hoek

Nogueira

Schindler

Adams

Curry

, & Huckabee

M.-L.

(2019). International standardisation of the Test of Masticating and Swallowing Solids in children. Journal of Oral Rehabilitation, 46, 161–169. https://doi.org/10.1111/joor.12728

43.

Fry

T. J.

Marfurt

, & Wengier

(2018). Systematic review of quality improvement initiatives related to cue-based feeding in preterm infants. Nursing for Women’s Health, 22, 401–410. https://doi.org/10.1016/j.nwh.2018.07.006

44.

Gal

Gal-Mishael

Vissoker

R. E.

Hedley

Bury

S. M.

, & Stolar

(2022). Eating challenges in children with autism spectrum disorder: Development and validation of the “Aut-Eat” Questionnaire (AEQ). Journal of Autism and Developmental Disorders, 52, 811–822. https://doi.org/10.1007/s10803-021-04978-x

45.

Gisel

E. G.

(1994). Oral-motor skills following sensorimotor intervention in the moderately eating-impaired child with cerebral palsy. Dysphagia, 9, 180–192. https://doi.org/10.1007/BF00341263

46.

Goday

P. S.

Huh

S. Y.

Silverman

Lukens

C. T.

Dodrill

Cohen

S. S.

, … Phalen

J. A.

(2019). Pediatric feeding disorder: Consensus definition and conceptual framework. Journal of Pediatric Gastroenterology and Nutrition, 68, 124–129. https://doi.org/10.1097/MPG.0000000000002188

47.

Gomes

A. I.

Pereira

A. I.

Roberto

M. S.

Boraska

, & Barros

(2021). Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis. PLoS One, 16, e0250231. https://doi.org/10.1371/journal.pone.0250231

48.

Gosa

M. M.

Carden

H. T.

Jacks

C. C.

Threadgill

A. Y.

, & Sidlovsky

T. C.

(2017). Evidence to support treatment options for children with swallowing and feeding disorders: A systematic review. Journal of Pediatric Rehabilitation Medicine, 10, 107–136. https://doi.org/10.3233/PRM-170436

49.

Gronski

, & Doherty

(2020). Interventions within the scope of occupational therapy practice to improve activities of daily living, rest, and sleep for children ages 0–5 years and their families: A systematic review. American Journal of Occupational Therapy, 74, 7402180010. https://doi.org/10.5014/ajot.2020.039545

50.

Harrington

B. M.

, & Maybee

J. L.

(2022). Pediatric FEES: What it takes to achieve optimal outcomes. Perspectives of the ASHA Special Interest Groups, 7, 1972–1983. https://doi.org/10.1044/2022_PERSP-22-00106

51.

Hawdon

J. M.

Beauregard

Slattery

, & Kennedy

(2000). Identification of neonates at risk of developing feeding problems in infancy. Developmental Medicine and Child Neurology, 42, 235–239. https://doi.org/10.1017/s0012162200000402

52.

Hendy

H. M.

Seiverling

Lukens

C. T.

, & Williams

K. E.

(2013). Brief Assessment of Mealtime Behavior in Children: Psychometrics and association with child characteristics and parent responses. Children’s Health Care, 42, 1–14. https://doi.org/10.1080/02739615.2013.753799

53.

Hladik

St. John

B. M.

Carbery

Gray

Drew

J. R.,

Jr. , & Ausderau

K. K.

(2023). Benefits and challenges of a telehealth eating and mealtime intervention for autistic children: Occupational therapy practitioners’ perspectives. OTJR: Occupational Therapy Journal of Research, 43, 540–548. https://doi.org/10.1177/15394492231175069

54.

Hladik

St. John

B. M.

Korbel

Nelson

Umana

Kant

, & Ausderau

K. K.

(2025). “Giving me the self-confidence to tackle it”: Mothers’ experiences participating in the Engaged Eaters Program, a caregiver-mediated feeding intervention. Journal of Autism and Developmental Disorders, 55, 1045–1056. https://doi.org/10.1007/s10803-024-06250-4

55.

Hodges

A. K.

Hathaway

K. L.

McMahon

M. X. H.

Volkert

V. M.

, & Sharp

W. G.

(2023). Treatment of feeding concerns in children with autism spectrum disorder: A systematic review of behavioral interventions with caregiver training. Behavior Modification, 47, 936–958. https://doi.org/10.1177/01454455221137328

56.

Howe

T.-H.

, & Wang

T.-N.

(2013). Systematic review of interventions used in or relevant to occupational therapy for children with feeding difficulties ages birth–5 years. American Journal of Occupational Therapy, 67, 405–412. https://doi.org/10.5014/ajot.2013.004564

57.

Howe

T.-H.

Sheu

C.-F.

Hsieh

Y.-W.

, & Hsieh

C.-L.

(2007). Psychometric characteristics of the Neonatal Oral-Motor Assessment Scale in healthy preterm infants. Developmental Medicine and Child Neurology, 49, 915–919. 10.1111/j.1469-8749.2007.00915.x

58.

Huckabee

M.-L.

McIntosh

Fuller

Curry

Thomas

Walshe

, … Sella-Weiss

(2018). The Test of Masticating and Swallowing Solids (TOMASS): Reliability, validity and international normative data. International Journal of Language and Communication Disorders, 53, 144–156. https://doi.org/10.1111/1460-6984.12332

59.

Ibrahim

Chavez

Smith

Craig

, & Pineda

(2024). Oral motor interventions used to support the development of oral feeding skills in preterm infants: An integrative review. Early Human Development, 198, 106125. https://doi.org/10.1016/j.earlhumdev.2024.106125

60.

Kenny

D. J.

Koheil

R. M.

Greenberg

Reid

Milner

Moran

, & Judd

P. L.

(1989). Development of a multidisciplinary feeding profile for children who are dependent feeders. Dysphagia, 4, 16–28. https://doi.org/10.1007/BF02407398

61.

Khamis

Novak

Morgan

Tzannes

Pettigrew

Cowell

, & Badawi

(2020). Motor learning feeding interventions for infants at risk of cerebral palsy: A systematic review. Dysphagia, 35, 1–17. https://doi.org/10.1007/s00455-019-10016-x

62.

Kim

Brown

, & Ornelas

(2021). Long-term outcomes of children with pediatric feeding disorders treated in an inpatient multidisciplinary program. Journal of Pediatric Gastroenterology and Nutrition, 72, 388–391. https://doi.org/10.1097/MPG.0000000000002977

63.

Kim

G. Y.

Tuck

K. N.

Eddy

M. M.

Bhattashali

, & Bigelow

K. M.

(2025). Caregivers’ perceptions on caregiver-implemented intervention and coaching. Early Childhood Research Quarterly, 70, 264–273. https://doi.org/10.1016/j.ecresq.2024.10.009

64.

Kiresuk

T. J.

, & Sherman

R. E.

(1968). Goal attainment scaling: A general method for evaluating comprehensive community mental health programs. Community Mental Health Journal, 4, 443–453. https://doi.org/10.1007/BF01530764

65.

Klein

M. D.

(2023). The Get Permission Approach. Get Permission Institute. Retrieved November 4, 2025, from https://getpermissioninstitute.com/the-approach/

66.

Kovacic

Rein

L. E.

Szabo

Kommareddy

Bhagavatula

, & Goday

P. S.

(2021). Pediatric feeding disorder: A nationwide prevalence study. Journal of Pediatrics, 228, 126–131.e3. https://doi.org/10.1016/j.jpeds.2020.07.047

67.

Larson

, & Miller-Bishoff

(2014). Family routines within the ecological niche: An analysis of the psychological well-being of U.S. caregivers of children with disabilities. Frontiers in Psychology, 5, 495. https://doi.org/10.3389/fpsyg.2014.00495

68.

Laverdure

, & Beisbier

(2021). Occupation- and activity-based interventions to improve performance of activities of daily living, play, and leisure for children and youth ages 5 to 21: A systematic review. American Journal of Occupational Therapy, 75, 7501205050. https://doi.org/10.5014/ajot.2021.039560

69.

Law

Baptiste

Carswell

McColl

M. A.

Polatajko

, & Pollock

(2019). Canadian Occupational Performance Measure (5th ed., rev.). COPM, Inc.

70.

Leader

Tuohy

Chen

J. L.

Mannion

, & Gilroy

S. P.

(2020). Feeding problems, gastrointestinal symptoms, challenging behavior and sensory issues in children and adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 50, 1401–1410. https://doi.org/10.1007/s10803-019-04357-7

71.

Longoni

Provenzi

Cavallini

Sacchi

Scotto di Minico

, & Borgatti

(2018). Predictors and outcomes of the Neonatal Oral Motor Assessment Scale (NOMAS) performance: A systematic review. European Journal of Pediatrics, 177, 665–673. https://doi.org/10.1007/s00431-018-3130-1

72.

Machado

B. C.

Dias

Lima

V. S.

Campos

, & Gonçalves

(2016). Prevalence and correlates of picky eating in preschool-aged children: A population-based study. Eating Behaviors, 22, 16–21. https://doi.org/10.1016/j.eatbeh.2016.03.035

73.

Madonna

Jeffers

, & Harding

K. E.

(2024). Caregiver training improves child feeding behaviours in children with paediatric feeding disorder and may reduce caregiver stress: A systematic review and meta-analysis. International Journal of Speech-Language Pathology, 27, 634–646. https://doi.org/10.1080/17549507.2024.2381459

74.

Marshall

Ware

Ziviani

Hill

R. J.

, & Dodrill

(2015). Efficacy of interventions to improve feeding difficulties in children with autism spectrum disorders: A systematic review and meta-analysis. Child: Care, Health and Development, 41, 278–302. https://doi.org/10.1111/cch.12157

75.

McComish

Brackett

Kelly

Hall

Wallace

, & Powell

(2016). Interdisciplinary feeding team: A medical, motor, behavioral approach to complex pediatric feeding problems. The American Journal of Maternal Child Nursing, 41, 230–236. https://doi.org/10.1097/NMC.0000000000000252

76.

Miller

A. L.

Miller

S. E.

, & Clark

K. M.

(2018). Child, caregiver, family, and social–contextual factors to consider when implementing parent-focused child feeding interventions. Current Nutrition Reports, 7, 303–309. https://doi.org/10.1007/s13668-018-0255-9

77.

Mitchell

, & Paluszak

S. L.

(2018). Adaptive feeding techniques and positioning: An occupational therapist’s perspective. In Ongkasuwan

& Chiou

(Eds.), Pediatric dysphagia (pp. 135–146). Springer. https://doi.org/10.1007/978-3-319-97025-7_11

78.

Muesbeck

St. John

B. M.

Kant

, & Ausderau

K. K.

(2018). Use of props during mealtime for children with autism spectrum disorders: Self-regulation and reinforcement. OTJR: Occupational Therapy Journal of Research, 38, 254–260. https://doi.org/10.1177/1539449218778558

79.

National Center for Health Statistics. (2021). International classification of diseases, tenth revision, clinical modification. https://www.cdc.gov/nchs/icd/icd-10-cm/

80.

Nowak-Cooperman

, & Quinn-Shea

(2013). Finding the balance: Oral eating and tube feeding: One pediatric hospital’s experience with a hunger-based intensive feeding program. ICAN: Infant, Child, and Adolescent Nutrition, 5, 283–297. https://doi.org/10.1177/1941406413503683

81.

Ofek Shlomai

Mordechai

Morag

Bdolach Abram

, & Eventov Friedman

(2024). Cue-based feeding in the NICU—A pathway to earlier oral feeding of preterm infants. Frontiers in Pediatrics, 12, 1417628. https://doi.org/10.3389/fped.2024.1417628

82.

Pados

B. F.

Estrem

H. H.

Thoyre

S. M.

Park

, & McComish

(2017). The Neonatal Eating Assessment Tool: Development and content validation. Neonatal Network, 36, 359–367. https://doi.org/10.1891/0730-0832.36.6.359

83.

Pados

B. F.

Hill

R. R.

Yamasaki

J. T.

Litt

J. S.

, & Lee

C. S.

(2021). Prevalence of problematic feeding in young children born prematurely: A meta-analysis. BMC Pediatrics, 21, 110. https://doi.org/10.1186/s12887-021-02574-7

84.

Pados

B. F.

Thoyre

S. M.

, & Park

(2018). Age-based norm-reference values for the Pediatric Eating Assessment Tool. Pediatric Research, 84, 233–239. https://doi.org/10.1038/s41390-018-0067-z

85.

Patel

M. R.

Patel

V. Y.

Andersen

A. S.

, & Miles

(2022). Evaluating outcome measure data for an intensive interdisciplinary home-based pediatric feeding disorders program. Nutrients, 14, 4602. https://doi.org/10.3390/nu14214602

86.

Patten

K. K.

Murthi

Onwumere

D. D.

Skaletski

E. C.

Little

L. M.

, & Tomchek

S. D.

(2024). Occupational therapy practice guidelines for autistic people across the lifespan. American Journal of Occupational Therapy, 78, 7803397010. https://doi.org/10.5014/ajot.2024.078301

87.

Peterson

K. M.

Ibañez

V. F.

Volkert

V. M.

Zeleny

J. R.

Engler

C. W.

, & Piazza

C. C.

(2021). Using telehealth to provide outpatient follow‐up to children with avoidant/restrictive food intake disorder. Journal of Applied Behavior Analysis, 54, 6–24. https://doi.org/10.1002/jaba.794

88.

Pettigrew

Tzannes

Swift

Docking

Osland

, & Cheng

A. T.

(2022). Surgically acquired vocal cord palsy in infants and children with congenital heart disease (CHD): Description of feeding outcomes. Dysphagia, 37, 1288–1304. https://doi.org/10.1007/s00455-021-10390-5

89.

Piller

Osborne

, & McHugh Conlin

(2024). Perceived impact of sensory integration therapy on the family. OTJR: Occupational Therapy Journal of Research, 45, 519–526. https://doi.org/10.1177/15394492241280039

90.

Pineda

Harris

Foci

Roussin

, & Wallendorf

(2018). Neonatal Eating Outcome Assessment: Tool development and inter‐rater reliability. Acta Paediatrica, 107, 414–424. https://doi.org/10.1111/apa.14128

91.

Pineda

Liszka

Kwon

, & Wallendorf

(2020). Interrater reliability and concurrent validity of the Neonatal Eating Outcome Assessment. American Journal of Occupational Therapy, 74, 7402205050. https://doi.org/10.5014/ajot.2020.039578

92.

Porter

Smart

Hennessey

, & Cocks

(2024). Chewing skills in two and three year old children: Gender and age comparisons on an adapted version of the Test Of Mastication And Swallowing (TOMASS-C). International Journal of Speech-Language Pathology, 26, 38–44. 10.1080/17549507.2022.2152867

93.

Power-deFur

L. A.

(2024). Legal issues and opportunities associated with serving children with pediatric feeding disorders in schools. Language, Speech, and Hearing Services in Schools, 55, 434–443. https://doi.org/10.1044/2023_LSHSS-23-00018

94.

Price

, & Miner

(2008). Extraordinarily ordinary moments of co-occupation in a neonatal intensive care unit. OTJR: Occupational Therapy Journal of Research, 29, 72–78. https://doi.org/10.3928/15394492-20090301-04

95.

Printza

Sdravou

, & Triaridis

(2022). Dysphagia management in children: Implementation and perspectives of flexible endoscopic evaluation of swallowing (FEES). children. Children, 9, 1857. https://doi.org/10.3390/children9121857

96.

Rabaey

P. A.

Barlow

Jama

, & Lehr

(2023). Investigation of assessment tools in the area of pediatric feeding evaluation: A mixed-methods study. American Journal of Occupational Therapy, 77, 7704205110. https://doi.org/10.5014/ajot.2023.050040

97.

Ramsay

Martel

Porporino

, & Zygmuntowicz

(2011). The Montreal Children’s Hospital Feeding Scale: A brief bilingual screening tool for identifying feeding problems. Paediatrics and Child Health, 16, 147–e17. https://doi.org/10.1093/pch/16.3.147

98.

Rogers

Ramsay

, & Blissett

(2018). The Montreal Children’s Hospital Feeding Scale: Relationships with parental report of child eating behaviours and observed feeding interactions. Appetite, 125, 201–209. https://doi.org/10.1016/j.appet.2018.02.007

99.

Samane

Yadollah

Z. P.

Marzieh

Karimollah

H.-T.

Reza

Z. M.

Afsaneh

, & Als

(2022). Cue-based feeding and short-term health outcomes of premature infants in newborn intensive care units: A non-randomized trial. BMC Pediatrics, 22, 23. https://doi.org/10.1186/s12887-021-03077-1

100.

Sarcia

(2020). The impact of applied behavior analysis to address mealtime behaviors of concern among individuals with autism spectrum disorder. Child and Adolescent Psychiatric Clinics of North America, 29, 515–525. https://doi.org/10.1016/j.chc.2020.03.004

101.

Seiverling

L. J.

Williams

K. E.

Hendy

H. M.

Adams

Fernandez

Alaimo

, … Hart

(2016). Validation of the Brief Assessment of Mealtime Behavior in Children (BAMBIC) for children in a non-clinical sample. Children’s Health Care, 45, 165–176. https://doi.org/10.1080/02739615.2014.979925

102.

Seiverling

Hendy

H. M.

, & Williams

(2011). The Screening Tool of Feeding Problems applied to children (STEP-CHILD): Psychometric characteristics and associations with child and parent variables. Research in Developmental Disabilities, 32, 1122–1129. https://doi.org/10.1016/j.ridd.2011.01.012

103.

Sellers

Mandy

Pennington

Hankins

, & Morris

(2014). Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy. Developmental Medicine and Child Neurology, 56, 245–251. https://doi.org/10.1111/dmcn.12352

104.

Sharp

W. G.

Burrell

T. L.

, & Jaquess

D. L.

(2014). The Autism MEAL Plan: A parent-training curriculum to manage eating aversions and low intake among children with autism. Autism, 18, 712–722. https://doi.org/10.1177/1362361313489190

105.

Sharp

W. G.

Burrell

T. L.

Berry

R. C.

Stubbs

K. H.

McCracken

C. E.

Gillespie

S. E.

, & Scahill

(2019). The autism Managing Eating Aversions and Limited variety plan vs parent education: A randomized clinical trial. Journal of Pediatrics, 211, 185–192.e1. https://doi.org/10.1016/j.jpeds.2019.03.046

106.

Sharp

W. G.

Volkert

V. M.

Scahill

McCracken

C. E.

, & McElhanon

(2017). A systematic review and meta-analysis of intensive multidisciplinary intervention for pediatric feeding disorders: How standard is the standard of care? Journal of Pediatrics, 181, 116–124.e4. https://doi.org/10.1016/j.jpeds.2016.10.002

107.

Shaver

(2022). The state of telehealth before and after the COVID-19 pandemic. Primary Care, 49, 517–530. https://doi.org/10.1016/j.pop.2022.04.002

108.

Sheikh-Mohamed

S. O.

Wilson

, & Fucile

(2024). Interventions to enhance achievement to independent oral feeds in premature infants: A scoping review. Physical and Occupational Therapy in Pediatrics, 44, 295–315. https://doi.org/10.1080/01942638.2023.2271064

109.

Sheppard

J. J.

Hochman

, & Baer

(2014). The Dysphagia Disorder Survey: Validation of an assessment for swallowing and feeding function in developmental disability. Research in Developmental Disabilities, 35, 929–942. https://doi.org/10.1016/j.ridd.2014.02.017

110.

Skuse

Stevenson

Reilly

, & Mathisen

(1995). Schedule for Oral-Motor Assessment (SOMA): Methods of validation. Dysphagia, 10, 192–202. https://doi.org/10.1007/BF00260976.

111.

Skuse

Wolke

, & Reilly

(1992). Failure-to-thrive—Clinical and developmental aspects. In Remschmidt

& Schmidt

(Eds.), Developmental psychopathology (Vol. 2, pp. 46–69). Hogrefe & Huber.

112.

Speyer

Cordier

Kim

J.-H.

Cocks

Michou

, & Wilkes-Gillan

(2019). Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: A systematic review and meta-analyses. Developmental Medicine and Child Neurology, 61, 1249–1258. https://doi.org/10.1111/dmcn.14316

113.

St. John

B. M.

, & Ausderau

K. K.

(2024a). Changes in caregiver outcomes after participation in the Engaged Eaters Program: A caregiver-mediated feeding intervention for autistic children and their families. American Journal of Occupational Therapy, 78, 7803205040. https://doi.org/10.5014/ajot.2024.050444

114.

St. John

B. M.

, & Ausderau

K. K.

(2024b). The characterization of feeding challenges in autistic children. Autism, 28, 2381–2393. https://doi.org/10.1177/13623613241227518

115.

St. John

B. M.

Hladik

Novak

Gartland

, & Ausderau

K. K.

(2022). Feeding challenges for children with autism spectrum disorder. In Marcus

& Breton

(Eds.), Infant and child feeding and swallowing: Occupational therapy assessment and intervention (2nd ed., pp. 399–424). AOTA Press

116.

Sullivan

P. B.

Lambert

Rose

Ford-Adams

Johnson

, & Griffiths

(2000). Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study. Developmental Medicine and Child Neurology, 42, 674–680. https://doi.org/10.1111/j.1469-8749.2000.tb00678.x

117.

Thomas

Goodman

Jacob

, & Grabher

(2021). Implementation of cue-based feeding to improve preterm infant feeding outcomes and promote parents’ involvement. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 50, 328–339. https://doi.org/10.1016/j.jogn.2021.02.002

118.

Thoyre

S. M.

Pados

B. F.

Park

Estrem

McComish

, & Hodges

E. A.

(2018). The Pediatric Eating Assessment Tool: Factor structure and psychometric properties. Journal of Pediatric Gastroenterology and Nutrition, 66, 299–305. https://doi.org/10.1097/MPG.0000000000001765

119.

Thoyre

S. M.

Pados

B. F.

Shaker

C. S.

Fuller

, & Park

(2018). Psychometric properties of the Early Feeding Skills Assessment Tool. Advances in Neonatal Care, 18, E13–E23. https://doi.org/10.1097/ANC.0000000000000537

120.

Thoyre

S. M.

Shaker

C. S.

, & Pridham

K. F.

(2005). The Early Feeding Skills Assessment for preterm infants. Neonatal Network, 24, 7–16. https://doi.org/10.1891/0730-0832.24.3.7

121.

Toomey

K. A.

, & Ross

E. S.

(2011). SOS approach to feeding. Perspectives on Swallowing and Swallowing Disorders (Dysphagia), 20, 82–87. https://doi.org/10.1044/sasd20.3.82

122.

Trewin

Mailloux

, & Schaaf

R. C.

(2022). Evaluation of MealSense^©: A sensory integration–based feeding support program for parents. American Journal of Occupational Therapy, 76, 7603345020. https://doi.org/10.5014/ajot.2022.046987

123.

Tschirren

Bauer

Hanser

Marsico

Sellers

, & van Hedel

H. J. A.

(2018). The Eating and Drinking Ability Classification System: Concurrent validity and reliability in children with cerebral palsy. Developmental Medicine and Child Neurology, 60, 611–617. https://doi.org/10.1111/dmcn.13751

124.

U.S. Department of Education. (2017, May 3). Sec. 300.101 Free appropriate public education (FAPE) . https://sites.ed.gov/idea/regs/b/b/300.101

125.

Volkert

V. M.

Burrell

Berry

R. C.

Waddle

White

Bottini

, … Sharp

W. G.

(2021). Intensive multidisciplinary feeding intervention for patients with avoidant/restrictive food intake disorder associated with severe food selectivity: An electronic health record review. International Journal of Eating Disorders, 54, 1978–1988. https://doi.org/10.1002/eat.23602

126.

Wardle

Guthrie

C. A.

Sanderson

, & Rapoport

(2001). The Children’s Eating Behaviour Questionnaire (CEBQ)—A self-report instrument for the assessment of children’s eating behaviours. Journal of Child Psychology and Psychiatry, 42, 963–970. https://doi.org/10.1111/1469-7610.00792

127.

Williams

, & Seiverling

(2023). Behavior analytic feeding interventions: Current state of the literature. Behavior Modification, 47, 983–1011. https://doi.org/10.1177/01454455221098118

128.

Wilson

Simione

, & Polley

(2021). Paediatric oral sensorimotor interventions for chewing dysfunction: A scoping review. International Journal of Language and Communication Disorders, 56, 1316–1333. https://doi.org/10.1111/1460-6984.12662

129.

Wolke

Sumner

McDermott

, & Skuse

(1992). The Feeding Interaction Scale. Child and Youth Psychiatry: European Perspectives, 2, 46–71.

130.

Zarem

Kidokoro

Neil

Wallendorf

Inder

, & Pineda

(2013). Psychometrics of the Neonatal Oral Motor Assessment Scale. Developmental Medicine and Child Neurology, 55, 1115–1120. https://doi.org/10.1111/dmcn.12202

131.

Zickgraf

H. F.

, & Elkins

(2018). Sensory sensitivity mediates the relationship between anxiety and picky eating in children/adolescents ages 8–17, and in college undergraduates: A replication and age-upward extension. Appetite, 128, 333–339. https://doi.org/10.1016/j.appet.2018.06.023